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Medicare DRG 101. What hospitals charge and what Medicare pays, 2024.
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| Nevada | 9 | $90,245 | $7,351 |
| California | 95 | $79,944 | $9,853 |
| Colorado | 7 | $78,186 | $6,029 |
| New Jersey | 34 | $68,630 | $7,592 |
| Alaska | 3 | $66,015 | $9,722 |
| Florida | 78 | $63,511 | $6,555 |
| District of Columbia | 3 | $60,535 | $7,933 |
| Hawaii | 1 | $59,641 | $7,294 |
| Texas | 61 | $57,474 | $7,421 |
| New York | 63 | $55,922 | $9,619 |
| Kansas | 7 | $53,895 | $5,595 |
| Arizona | 13 | $50,863 | $6,265 |
| Pennsylvania | 39 | $50,562 | $6,287 |
| Idaho | 3 | $47,195 | $5,527 |
| Vermont | 2 | $44,961 | $4,367 |
| Oklahoma | 12 | $44,778 | $6,215 |
| Missouri | 21 | $44,203 | $5,986 |
| South Dakota | 3 | $43,407 | $6,469 |
| Tennessee | 22 | $43,373 | $5,723 |
| Alabama | 13 | $43,355 | $5,721 |
| Washington | 14 | $43,194 | $6,791 |
| Louisiana | 14 | $41,633 | $6,257 |
| Utah | 2 | $40,955 | $7,508 |
| New Hampshire | 6 | $40,768 | $6,238 |
| South Carolina | 15 | $40,498 | $6,149 |
| Illinois | 43 | $40,317 | $6,463 |
| Georgia | 26 | $40,259 | $7,242 |
| Connecticut | 7 | $39,819 | $7,857 |
| Wisconsin | 7 | $39,461 | $5,935 |
| Virginia | 24 | $36,714 | $5,819 |
| Oregon | 5 | $35,546 | $7,592 |
| Mississippi | 8 | $34,830 | $5,667 |
| Iowa | 5 | $34,731 | $5,365 |
| Delaware | 4 | $34,466 | $6,580 |
| Ohio | 33 | $34,256 | $5,857 |
| New Mexico | 3 | $34,125 | $6,396 |
| Kentucky | 13 | $34,102 | $5,383 |
| Minnesota | 13 | $33,993 | $6,613 |
| Wyoming | 1 | $33,803 | $8,261 |
| North Carolina | 20 | $33,746 | $6,455 |
| Indiana | 18 | $32,832 | $5,827 |
| Maine | 2 | $30,445 | $6,046 |
| West Virginia | 5 | $30,415 | $5,393 |
| Nebraska | 3 | $29,447 | $6,746 |
| Rhode Island | 1 | $29,217 | $7,808 |
| Michigan | 31 | $29,049 | $6,298 |
| North Dakota | 3 | $28,561 | $5,648 |
| Arkansas | 9 | $27,856 | $5,118 |
| Massachusetts | 29 | $26,613 | $7,622 |
| Montana | 3 | $21,354 | $5,417 |
| Maryland | 27 | $14,587 | $11,675 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.